1. Firstly, confirm whether it is for medical treatment in a different place within the province or for medical treatment in a different place across the province, if it is the former, then there is no need for filing;
2. If it is for medical treatment in a different place across the province, participants will go through the procedure of filing for medical treatment in a different place in the medical insurance agencies of the participating municipalities, and will get the "form for filing for medical treatment in a different place";
3, Holding the "Record Form", the insured person goes to the networked hospital for medical treatment;
4. If hospitalization is required, the insured person holds the "Record Form for Medical Treatment in a Different Place" and the hospitalization notification form to go to the window of the hospital's medical insurance office to go through the hospitalization procedures, and delivers the hospitalization deposit according to 30%-40% of the total cost;
5. Discharge audit and settlement. Individuals are responsible for their own part, and the rest should be paid by the coordinator by the hospital;
6. After the discharge settlement procedures are completed, the participant is discharged from the hospital with the "Detailed Expenses of Medical Insurance for Medical Treatment in a Different Place", and the "Filing Form" is kept in the hospital for record.
In addition, the relocation of people need to be hospitalized, should be by telephone and other means in the medical insurance agency for the record, and then hold my social security card (card) and ID card for hospitalization procedures, other medical procedures and referrals to the same process.
Second, what proofs are needed for the record in other places:
1, a valid certificate of residence issued by the resident public security organ;
2, social security card and a copy of it;
3, referral and transfer of hospitals to determine the form;
4, information on the condition of the hospital of the admitted patients.
Third, other considerations:
1, foreign medical treatment can only be reimbursed for inpatient and emergency charges, only a few cities can be reimbursed for settlement of outpatient expenses;
2, the scope of reimbursement and reimbursement rate of foreign medical treatment: the medical insurance directory of the place of medical treatment shall prevail, such as medicines, medical equipments, diagnostic and therapeutic items, and services, etc, which need to be included in the directory of the place of medical treatment to be reimbursed. The reimbursement rate is based on the policy of the insured place, including the starting line, reimbursement rate, reimbursement limit, etc.
3. If a hospital supports direct settlement in a different location, the settlement can be completed directly at the settlement window during the discharge procedure. If you encounter special circumstances, such as system failure, then you still need to bring the consultation information and return to the place of insurance to complete the reimbursement.
Legal basis:
Social Insurance Law
Article 4 of the Chinese People's Republic of China **** and the State of the employers and individuals in the territory of the social insurance premiums in accordance with the law, have the right to query the record of payment of premiums, personal rights and interests record, and require the social insurance agency to provide social insurance consulting and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the unit for their contributions.